A tummy tuck is a surgery that removes excess skin and fat from the lower abdomen. This is combined with liposuction of the upper abdomen, flanks and pubis to give a uniform result. The procedure also includes correction of rectus diastasis, which is the separation of the abdominal muscles after pregnancy or weight loss.
The best candidates for this surgery are at a stable and healthy weight. You have to be sure to have finished having kids and be able to take the time to recover.
A tummy tuck includes the excision of excess tissue under the belly button, plication of the abdominal muscles, transposition of the umbilicus and liposuction of the flanks, upper abdomen and pubic area. The incision stays low and goes from hip to hip with a small incision around the umbilicus.
You can examine the space between your abdominal muscles by lying down and raising your head. You can feel the space between your abdominal muscles. Often after pregnancy, this space measures 1-5cm.
The scar from the tummy tuck will likely be below the caesarean section scar, so it will be removed during surgery.
You will be in a flexed position (at the hips) for 5-7 days while the skin is stretching. The pain can be well controlled during the first days by taking your pain medication regularly. You will have a drain to empty during the first days. The average recovery takes 3 weeks (2-4 weeks).
The risks of the procedure are rare, but important and include the risks of general anesthesia, thrombophlebitis (blot clot in the leg), bleeding and infection. All possible complications and how to prevent them, will be discussed with you during your consultation.